| NPI | 1043943509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME176453) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS T-4594) |
| Enumeration Date | 2022-07-02 |
| Last Update Date | 2025-08-26 |